06 shabunina i. - treatment of children with affection of nervous system and locomotor apparatus (1)

8/12/2019 06 Shabunina I. - Treatment of Children With Affection of Nervous System and Locomotor Apparatus (1)

1/3

Publication from the RITM OKB ZAO librarywww.elib.scenar.com.ru

1

Translation from Russian to English Language

Published in: -, -: . . 4,, 1998,C. 55-58.(Scenar-therapy and Scenar-expertise: Collection ofarticles. Issue 4, Taganrog, 1998, - pp. 55-58)

Authors: ..(Shabunina I.)

Article name: -

Key words: pediatrics, neurology

Summary: In the article the author describes a treatment experience of rehabilitationdepartment of institution Osoby Rebenok. In the institution it was studied theisolated influence of OLM and the influence of OLM in the complex withScenar-therapy, exercise therapy, massage and acupuncture on the functionalstate of Nervous System of Children with neurological pathologies. The new

complex methods of treatment were developed. There were observed 67patients with lesions of locomotor apparatus, with muscular andcardiovascular systems diseases, as well as with neurosis-like syndromes.There were revealed combinations of the methods, which give the optimumtherapeutic effect. It is specified, that the received positive effects fromneurological and somatic status of patients indicate the purposeful influence ofthe given complex methods of treatment on the basic pathogeneticmechanisms of neurologic diseases.

Treatment of Children with Affection of Nervous System andLocomotor Apparatus

In spite of the fact that there are a lot of therapeutic means for treatment of nervous system

affection and locomotor apparatus, and psychic disorders of speech, the problem of corrective-

restorative treatment is not solved. One of the kinds of medical influence, intended for treatment of

functional and organic diseases of central nervous system is SCENAR-therapy.

In institutionOsoby Rebenok 374 children, aged from 1 month to 16 years were treated.

Among them: 43children under a year; 138of 1-3 years; 131of 3-7 years; 56of 7-14 years;

6from 14-16 years.

The data, concerning nosological forms are given in table 1.

Table 1.

Clinical characteristics of the children, treated by SCENAR-therapy method

Nosological formThe quantity of

the patients

Childish cerebral palsy 228

Consequences of craniocerebral injury with motor disorders 7

Diseases of peripheral nervous system with motor, vegeto-vascular disorders,

Erb-Duchenne palsy, Klumpke's paralysis and others

12

Consequences of nervous system infection with motor disorders (tick-borne

encephalitis)

10

Heritable- degenerative diseases of Sharko Mary 3

Prenatal affection of CNS, syndrome of motor disorders 86

Consequences of spinal hernia with motor, pelvic disorders 3

Functional diseases of CNS (enuresis, logoneurosis ) 12


2/3


2

Orthopedic pathology (inborn valgus, dysplasia of pelvic joints) 13

The main contingent in our institution is children with cerebral spastic infantile paralysis.

We analyzed clinical picture and neurological symptoms of children, directed to SCENAR-therapy,

and singled out the main clinical symptoms of CCS, which are given in table 2.

Table 2.Clinical form of CCS Absolute quantity Percentage

Spastic diplegia 97 46.8

Double hemiplegia 33 16.8

Hemiparetic 31 14.9

Atonic-astatic 37 17.7

Hyperkinetic 10 4.8

At examination in the majority of cases cerebral disorders were revealed (headache,

dizziness, disorders of memory, increased fatiguability, decrease of capacity for work, dysphoria,

behavior, sleep disorder. In 90,2 % of cases motor disorders in the form of different degree of

affection (paraplegia) and tone change (hypertone, myotonia, dystonia) were observed).38,4% - hyperkinesis in the form of athetosis, choreoathetosis, with predominant

localization in upper extremities, humeral part, trunk, head, and general motor anxiety, motor

awkwardness, static and dynamic ataxia.

42, 5% speech disorders (dysarthria, phalalia, delay of speech development, logoneurosis).

11% pelvic disorders of central and peripheral type.

In the majority of cases organic neurological symptomatology was revealed : paresis of VII,

XII, III, VI ; disorders of reflex sphere (anisoreflexion, hypereflexia, pathological reflexes,

disorders of sensibility (hyposthesia, hypersthesia, more often in distal parts and anogenital zone);

disorders of functions of autonomous nervous system (hyperhydrosis, excess salivation) ).

30, 4% of children, according ECHO- EEG had chronic intracranial hypertension. At

estimation of the EEG data in the majority of cases pathological changes of bioelectric activity ofthe brain were marked. These changes are characterized, mainly, be their tendency to diffuse

disorganization and hypersynchronization of general rhythm, intensification of regional differences

in their distribution, bilateral-synchronic high-amplitude paroxysms of the waves of slow activity.

General principle of treatment in institution Osoby rebenok is individual selection of

influence scheme. At SCENAR-therapy we used combination of continuous and individually-dosed

modes of work, depending on the age of a patient, clinical form, difficulty of affection. At the

beginning of the procedure, a general regulating influence (along three tracks, segment zones,

points of trifacial outlet, then, according the rules of SCENAR-therapy and then, along the zones,

pointed out in instruction) was made. The course of treatment was 7-10 days, the repeated course

in 2-3 months. Termination of the course of treatment was determined according SCENAR-

expertise rules, control of cyclic recurrence of adaptive reactions.

We selected several different schemes of combined treatment of children.

1. Motor disorders: SCENAR-therapy; SCENAR+OLM; SCENAR+SuDZOK, SCENAR+Impulse-resonance therapySCENAR + puncture physiotherapy (influence on general points, liver

channel, speech zones, thermo-, vibro-, electropuncture): SCENAR + Diprokor (was used as

preparation of nerve-muscular apparatus for treatment according method of dynamic proprioceptive

regulation); SCENAR + electrostimulation in alternation; SCENAR + massage; SCENAR + method

of Skvortsov-Osipenko.

2. Psychospeech disorders: SCENAR+ punctuated massage, studies with speech therapist,SCENAR+SuDzjok (zones of general influence, speech zones); SCENAR + thermotreatment

(applications of ozokerite before SCENAR-therapy), studies with speech therapist; SCENAR+Scvortsov-Osipenko method.

3. Pelvic disorders: SCENAR + SuDzjok, SCENAR + Impulse-resonance therapy;


3/3


3

SCENAR+ darsonvalism of lumbosacral part of the backbone in alternation; SCENAR+ Scvortsov-

Osipenko method.

After the course of treatment there were 78 % of improvements, insignificant improvement

12 %, absence of improvement10 %.

The dynamics of clinical indices is given in the table 3.

Under influence of treatment there are:

Correction of motor disorders: decrease of expressiveness of paresis at the expense ofchange (increase or decrease of the tone, changed before); as effect of it, improvement of vertical

position, feet support, stopping of pathological tonic reflexes, increase of the volume of active,

passive movements, sometimes mastering of new functions, which were absent before (sitting,

walking, manipulations with the help of hands, easening of self-service).

Correction of emotionally- volitional, speech disorders: increase of motivation and attention,

enriching of vocabulary, normalization of the tone of speech-motor muscles, decrease of asthenia,

improvement of the smoothness of sleep and speech.

Correction of the pelvic disorders. The best positive dynamics at neurosis-like enuresis.

Improvement of bioelectric activity of the brain at the expense of normalization of the main

rhythms, regularity, decrease of hypersynchronization and slow wave activity, diffuse and

paroxysmal.

Table 3.

Dynamics of clinical indices under influence of treatment

DisordersImprovement

(%)

Insignificant

improvement (%)

Without dynamics

(%)

Cerebral disorders 88 7 5

Motor disorders

paresis

hyperkinesis

78

55

12

23,5

10

21,5

Speech disorders (disarthria,

Delay of psychic speachdevelopment, logoneurosis )

65 25 10

Pelvic disorders 32 48 20

Lateral syndrome 76 16 9

It is necessary to mark, that at hyperkinetic form in some cases hyperkinesis became more

frequent, EEG showed intensification of slow wave activity in the from of tetta and delta waves.

Conclusions

1. The positive effect, we spoke about in the article, is evidence to purposeful influence of the

given method of treatment on the main pathogenetic mechanisms of neurological diseases.2. The effectiveness of treatment, according the data is better in early age (up to 1 year89%)3. The usage of SCENAR-therapy in combination with other methods of treatment (Su-Dzhok,

IRT, Diprokor, Scvortsov-Osipenko) is proved to be effective by clinico-instrumental

positive dynamics.

4. It is expedient to use individual schemes of treatment, depending on the age, difficulty of theprocess and form of affection.

06 shabunina i. - treatment of children with affection of nervous system and locomotor apparatus (1)

Documents